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Support of the patients indicated for coronary artery bypass graft surgery
KALVASOVÁ, Eliška
The bachelor thesis deals with the support of patients indicated for coronary artery bypass graft (CABG) surgery and their satisfaction with it. Psychological support of patients played an important role in preventing complications and therefore it was important to focus on the patient as a holistic human being. The objective of this bachelor thesis was to find out the method of patient education; to map the knowledge of healthy lifestyle, non-adherence to which led to indication of coronary artery bypass graft surgery; and to find out the level of mental support of patients indicated for coronary artery bypass graft surgery. To achieve these objectives, a qualitative investigation method was used, where data was further collected through semi-structured interviews with patients after coronary artery bypass graft surgery. A total of 10 patients were interviewed just after this procedure. The result of the research investigation which indicated that patients had not enough information regarding a healthy lifestyle, non-adherence to which led to the indication of coronary artery bypass graft surgery. Another shortcoming resulting from our research was the fact that patients had not have enough psychological support before the procedure, despite the fact that it was so important for physical health. However, the patient education by medical staff was satisfactory in our research. The research showed that the staff provided sufficient and good quality education in verbal as well as demonstrative form. The information booklet for patients undergoing cardiac surgery, which they all received before the procedure, was very positively evaluated by the patients as part of the education. According to the results, it was recommended that it would be appropriate to appeal to the necessity and need to offer psychological support to patients during their hospitalization as part of staff training.
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Comparison between Flow in the Left Internal Mammary Artery Harvested via Sternotomy and via a Left Anterior Small Thoracotomy with Clinical Impact for the Patient
Voborník, Martin ; Harrer, Jan (advisor) ; Lonský, Vladimír (referee) ; Rohn, Vilém (referee)
Comparison between flow in the left internal mammary artery harvested via sternotomy and via a left anterior small thoracotomy with clinical impact for the patient Introduction: In the treatment of coronary artery disease (CAD), in addition to conservative therapy and percutaneous interventions, is irreplacebly belong coronary artery bypass grafting (CABG). The gold standard in the surgical treatment of CAD is CABG from a median sternotomy access using cardiopulmonary bypass (on-pump CABG). A less invasive and economically advantageous is CABG from a median sternotomy access without cardiopulmonary bypass (off-pump CABG) and last but not least CABG through a left anterior small thoracotomy (LAST) approach (MIDCAB - "minimally invasive direct coronary artery bypass"). Although the final technical implementation anastomoses is essentially identical in off-pump CABG and MIDCAB, the difference is very important during left internal mammary artery (LIMA) harvesting, especially through a LAST approach, which can be difficult for the surgeon. Aim of the study: The aim of these two studies is to assess the effect of surgical approach on the mean flow in LIMA, including short and long term clinical impact for the patient. Methods: Study 1 (nonrandomized, prospective): In our study we included 60 patients,...
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